Postoperative respiratory difficulty due to asymptomatic anterior cervical osteophyte after brain tumor surgery - A case report

Hye Won Shin, Joon Chul Jang, Hyong Hwan Lim, Min Kyung Park, Go Eun Bae, Sung Uk Choi, Ji Yong Park

Research output: Contribution to journalArticle

Abstract

Anterior cervical osteophytes are commonly found in elderly patients, but rarely produce symptoms. When symptoms occur, they can range from mild symptoms of dysphagia, dysphonia, and foreign body sensation to severe symptoms of airway obstruction due to compression of the pharynx or larynx. We report the case of a 59-year-old man who underwent brain tumor surgery, and developed post-operative respiratory difficulty due to progressive pharyngo-laryngeal edema, requiring urgent endotracheal intubation, secondary to the presence of a previously asymptomatic anterior cervical osteophyte. It is paramount to recognize that asymptomatic anterior cervical osteophytes are a potential cause of life-threatening post-operative respiratory complications that can rapidly progress to life-threatening airway obstruction after surgeries in the prone position, especially in elderly patients.

Original languageEnglish
Pages (from-to)640-643
Number of pages4
JournalKorean Journal of Anesthesiology
Volume69
Issue number6
DOIs
Publication statusPublished - 2016 Dec 1

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Keywords

  • Airway
  • Anterior osteophyte
  • Prone position
  • Respiratory difficulty

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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